Organization Active NPI

Starr Family Practice, LLC

  • Family Medicine Physician
  • Caldwell, OH
National Provider Identifier
1629313291
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STARR FAMILY PRACTICE, LLC
Practice address
18125 Woodsfield Rd
Caldwell, OH 43724
Phone
(740) 732-7259
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tony D Starr, DO
Title
Owner
Phone
(740) 732-7259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

18125 Woodsfield Rd
Caldwell, OH 43724

Mailing address

1251 Clark St
Cambridge, OH 43725-9612

Other identifiers 1

IdentifierTypeStateIssuer
0090869MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1629313291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18125 WOODSFIELD RD",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "43724",
            "telephone_number": "740-732-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARR FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-732-7259",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090869",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.